Aim
To compare the level of inflammatory markers, oral health‐related quality of life (OHRQoL), and gingival parameters 1 month after introduction of electric toothbrush and intensive oral hygiene ...manoeuvre adaptation (OHI) versus routine habits (no‐OHI) in patients affected by generalized gingivitis.
Materials and Methods
One hundred forty subjects with generalized gingivitis were randomized to receive either OHI or no‐OHI. Full‐mouth plaque/bleeding scores (FMPS/FMBS), serum high‐sensitivity C‐reactive protein (hs‐CRP), interleukin‐6 (IL‐6), and an oral health impact profile‐14 questionnaire were collected at baseline and at 1‐month follow‐up visit.
Results
In the OHI, a significant FMPS and FMBS reduction (p < .01), a significant intra‐group decrease in hs‐CRP and IL‐6 (p < .01), and a significant improvement of OHRQoL (p < .01) were noted at 1‐month follow‐up visit. In the no‐OHI, lower‐magnitude differences were noted only for oral parameters. Resolution of gingivitis varied between OHI and no‐OHI (89% vs. 7%, respectively, p < .01). A logistic multivariate regression suggested that FMBS ≤8% was associated with the odds ratio of 13, having both CRP and IL‐6 below the selected threshold for healthy young adults (p = .04).
Conclusions
Gingivitis resolution determined important reductions of gingival inflammation and plaque levels, as well as systemic inflammatory markers and an improvement of quality of life (NCT03848351).
Objectives
This single-center randomized, parallel design, clinical trial with a 2-week follow-up involved patients affected by periodontitis undergoing periodontal surgery. The aim was to evaluate ...periodontal surgical wound healing with the use of chlorhexidine-based mouth rinses versus an untreated control group.
Materials and methods
Periodontal surgery was performed following a standardized protocol. Patients were randomly prescribed i) chlorhexidine (CHX) + anti-discoloration system (ADS) + hyaluronic acid (HA), ii) CHX + ADS or iii) no treatment (control group). Plaque score, gingival inflammation, and Early Healing Index (EHI), assessing the degree of wound closure and the presence of fibrin and necrosis, were evaluated at 3, 7 and 14 days after surgery.
Results
In total, 33 patients were enrolled. Patients were comparable at baseline for all measured clinical parameters. At 3-days wound healing was significantly improved in all patients treated with CHX + ADS-based mouth rinses with a lower EHI score at the interdental papillae compared with control group (
p
< 0.01). CHX + ADS + HA group presented improved healing across all time points in terms of EHI, plaque containment, and gingival inflammation when compared to control group (
p
< 0.01).
Conclusions
The usage of CHX-ADS following periodontal surgery improved early wound healing, reduced plaque accumulation and gingival inflammation. During the early post-operative period the adjunct of HA further improved soft tissue closure.
Clinical relevance
This study aims at evaluating the response of gingival tissues to mouth rinsing with chlorhexidine and anti-discoloration system (CHX + ADS) or CHX + ADS + hyaluronic acid (CHX + ADS + HA) versus no rinse in terms of healing of the periodontal surgical wound. CHX + ADS mouth rinses enhanced early soft tissue closure after periodontal surgery and contributed to the reduction in plaque accumulation and gingival inflammation. The adjunct of HA may be beneficial especially in the early post-operative period. CHX + ADS administration following periodontal surgery may improve soft tissue healing in the first two post-operative weeks.
The COVID-19 virus was first identified in December 2019 in Wuhan (China), and as early as January 2020, the World Health Organization expressed its concern and shortly afterwards officially declared ...a pandemic globally. This pandemic has brought the world economy, way of life, culture and migration to a state we have never encountered before. All countries within the European Union have at one time greatly restricted or banned entry and exit from their borders. Population movements and migration, like the economy, are most affected by this pandemic. Before the pandemic, the countries of the European Union had cultivated freedom of movement within their member states, but they were suddenly forced to impose severe restrictions and controls on their borders that prevented daily migrations of the population. The measures adopted varied from country to country, depending on the assessment of experts within them and on the number of those infected and the current epidemiological situation. Keywords: COVID-19, pandemic, migrations, European Union, Corona virus.
U ovom članku na temelju primarnih kvantitativnih i kvalitativnih podataka dobivenih
anketnim istraživanjem i strukturiranim dubinskim intervjuima u fokus-grupama te sekundarnih
statističkih podataka ...istražujemo namjere i motive mladih da migriraju iz Republike
Hrvatske. Teorijski pristup oslanja se na Parsonsov i Mertonov funkcionalizam, fenomenologijsku
sociologiju Shutza, Bergera i Luckmanna te Braudelovu koncepciju prostora u globalnom
kapitalističkom sistemu. Metodologija tumačenja podataka temelji se na Luhmannovoj
konstruktivističkoj epistemologiji kojoj je središnji postulat promatranje promatrača.
Rezultati pokazuju da ispitanici posjeduju snažno izraženo znanje o prostornim značajkama
svoje životne situacije. Odluka o migriranju je rezultat svjesne i racionalne odluke koja proistječe
iz dobre informiranosti o stanju u Hrvatskoj i zemljama u koje se želi migrirati. Na temelju
rezultata istraživanja može se zaključiti da:
1) Mladi mogućnost migriranja u neku od zemalja EU-a promatraju kao oblik unutarnje migracije.
2) Migriranju su skloniji mladi čiji su roditelji ili djedovi radili u inozemstvu.
3) Većina ispitanika nije sklona napuštanju Hrvatske.
4) Većina ispitanika nema namjeru trajnog ostanka u inozemstvu.
Objectives
To determine the efficacy of four different oral hygiene protocols involving adjunctive interdental devices in terms of plaque and bleeding scores in periodontitis‐affected patients.
...Material and methods
This was a randomized clinical trial with a 5‐week follow‐up, including previously treated periodontitis patients not undergoing any supportive care. Patients were randomly allocated to 4 groups: manual toothbrush (group TB); toothbrush plus dental floss (group TB/F); toothbrush plus interdental brushes (group TB/IDB) and toothbrush plus rubber interdental picks (group TB/RIDB). Oral hygiene instructions (OHI) were provided at baseline (T‐7) and at T0 (1‐week) then bi‐weekly (T14/T28). At T0, supragingival professional cleaning was delivered. Plaque and bleeding indexes were taken at all timepoints by a single calibrated examiner, blind to group allocation.
Results
At T‐7, patients were comparable for age, body mass index (BMI) and all clinical parameters, exceptions for the Interdental Angulated Bleeding Index. At T28, significant reductions of plaque and gingival inflammation were noted in all groups (p < 0.001) and within the expected ranges. Intergroup comparisons identified that group TB/IDB and group TB/RIDB achieved lower levels of plaque and inflammation than group TB (p < 0.05). Group TB/IDB and group TB/RIDB showed lower levels of plaque and lower inflammation as measured by angulated bleeding index than group TB/RIDB (p < 0.05).
Conclusion
Interdental brushes and rubber interdental picks were more efficient than toothbrushing alone and toothbrushing and floss in reducing plaque and gingival inflammation measured in a periodontitis‐affected population.
Migrations are a worldwide phenomenon occurring for centuries and an ongoing topic among numerous researchers. As such, global migrations have an impact on the labour market and the economy, Croatia ...being no exception. A dynamic history of migrations resulted in Croatia being labelled as a traditional emigration country. With the global financial crisis in 2008, an increasing number of active-labour population is migrating from Croatia to, mainly, developed European countries. After Croatia’s accession to the European Union in 2013, a new market and new opportunities opened up for job seekers. In a time when more and more individuals are emigrating and a continuous need for active labour population is emerging, the question of the scale of migrations is raised. The article investigates how wages and unemployment influenced migrations in Croatia between 2007 and 2016. The data was tested using a multiple regression model and additionally confirmed by the MAPE. The obtained results confirm the significance of the model and its parameters.
BACKGROUND The goal of this research was to determine the frequency of clinical inertia of general practice physicians in the region of Central Bosnia in healthcare for type 2 diabetes patients, to ...analyze characteristics of patients and physicians, as well as glucose regulation during clinical inertia, and, on the basis of these indicators, give recommendations for reducing clinical inertia. MATERIAL AND METHODS This study included 29 doctors, family physicians, or general practitioners, who collected data in a total sample of 541 type 2 diabetes mellitus patients from July to November 2017. The research was conducted using 2 questionnaires. The glucose concentration in plasma and the percentage of glycosylated hemoglobin (HbA1c) were determined. Concertation of cholesterol, triglycerides, AST, and ALT were also measured. After the collection, new data were processed and the degree of clinical inertia was determined. RESULTS Levels of HbA1c ranged from 4.3% to 13.0%, and 38.4% of all patients had HbA1c level higher than 7.5%, while 8.3% of them had HbA1c level 9.0% or higher. Clinical inertia in our research was 12.6% out of all patients and 48.2% were referred to a specialist by their doctor. CONCLUSIONS For better regulation of glycemia and reduction of clinical inertia with type 2 diabetes patients, more specialized training is needed for selected physicians. Strengthening of primary healthcare and encouraging doctors to perform procedures can contribute to better outcomes of treatment, lower clinical inertia, and better education of patients.
This retrospective study aimed to evaluate the long-term response of molars affected with severe periodontitis to periodontal treatment, to analyze the differences in response between molars with and ...without furcation involvement (FI) and to reevaluate the usefulness of the existing classification of FI in determining the prognosis.
A total of 402 patients from a single private practice were included. The observation period was 27 years (mean 16.5 years). The average frequency of the supportive periodontal therapy (SPT) visits was 1.76 ± 0.57 per year (median 1.95/ year). Inclusion criteria were: at least 10 years of periodontal follow-up, at least one tooth with probing depth ≥ 6 mm, level 4 of the Dutch Periodontal Screening Index (DPSI).
Of the 2,559 molars present at the initial examination, 125 were extracted immediately. Degrees III or II FI were found in 37.2% molars, while 62.8% exhibited degree I or had no FI. The performed periodontal treatments were: nonsurgical therapy of scaling and root planing (77.6%), eventually repeated scaling and root planing (11.6%), access flap (7.8%), tunnellization (0.2%), and root resection (2.8%). The survival rate was 83.9% (77.5% molars with FI; 87.8% without FI). The presence or absence of FI did not exhibit a significant effect in any of the treatments provided.
Simple treatments can successfully be applied to treat molars affected with severe periodontitis, even with FI, yielding good long-term survival rates. The classification of FI was not of great use in determining the prognosis except in case of degree III FI.
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